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Using Theoretical Models to Clarify Shared and Unique Mechanisms in Psychosocial Pain Treatments: A Commentary on McCracken and Morley's Theoretical Paper

      A shared goal among pain researchers is to develop robust theoretical models of pain and suffering and of those factors leading to its alleviation and relief. As described by McCracken and Morley in this issue of the Journal of Pain,
      • McCracken L.M.
      • Morley S.
      The psychological flexibility model: A basis for integration and progress in psychological approaches to chronic pain management.
      chronic pain is a complex, multidimensional phenomenon that is often refractory to various treatments yet by its very nature entails multiple potential points of intervention (ie, cognitions, emotions/affect, behavior, and physiology). There is now widespread agreement that the focus of pain treatment research needs to broaden beyond treatment efficacy to understanding how treatments work, and to develop core principles by which we can match the best treatment to a particular problem given a patient's unique characteristics and circumstances.
      • Jensen M.P.
      Psychosocial approaches to pain management: An organizational framework.
      • Kashdan T.B.
      • Rottenberg J.
      Psychological flexibility as a fundamental aspect of health.
      • Kazdin A.E.
      Mediators and mechanisms of change in psychotherapy research.
      • Paul G.L.
      Strategy of outcome research in psychotherapy.
      • Thorn B.E.
      • Burns J.W.
      Common and specific treatment factors in psychosocial pain management: The need for a new research agenda.
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